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CASTLE fiALYTICAL <br /> LABORATORY CHAIN OF CUSTODY* <br /> Location 2333 Shuttle Drive, Bldg 9081909, Atwater, CA 95301 Certificate No 2079 <br /> Mailing Address 2333 Shuttle Drive, Atwater, CA 95301 PAGE_,)—QF_ <br /> Phone (209) 3842930 - Fax (209) 384-1507 <br /> Customer + �f7 V REQUESTED ANALYSES Method of Shipment <br /> Address a en II <br /> w <br /> City/Stale/ZIP <br /> a o z Notes <br /> Phone ! FAXui s a w y m o <br /> Prot # / P 0 # t m z `U <br /> �! Y a. v U <br /> aU. <br /> ReportAttention a <br /> Sampler Signature ° 8 m w <br /> p 9 <br /> In <br /> Pnnted <br /> z <br /> I WS <br /> JA*ZV SAMPLED DATE TIME DESCRIPTIDN/IOCATION ' MY f2 <br /> r <br /> V 99 <br /> a <br /> 4 <br /> 1 <br /> r <br /> felinquished <br /> Total number of miitahiem sumitted to <br /> 5lg ature Printed Name Date TimeCam any Name lie laboraWryrIS 1 Note Ail speaal requests(e g quick <br /> by '�'�' tum times)must be deared through <br /> Received by , ✓ ' authorized laboratory personnel <br /> Relinquished by <br /> eceived by IMAM <br /> elstu�u%shad by PEERtIVIL RESULTS DUE <br /> ^�r - <br /> Received by DIZION vERanl. wRrrrr=N <br /> ' Abk'N I�U�I iR�`rCl�� <br />